Robinson is now considered the avant-garde in professional surfing. The scoring seemed even more generous than the previous two instances but the judges are now sending a consistent signal. Incredibly, Jack repeated the buzzer beater heroics in his Final against Filipe. Like Margarets, where this raw approach was preferred to John's flawless execution, judges favoured Robbo's ride over Medina. He drifted the tail through the second turn then had to hop and pump to get around a section, to pull into a tricky but clean tube. Medina took it, but as he ripped down the line we could already see Jack dropping into the wave behind, bottom turning as the buzzer sounded. Needing a mid 5 as the clock wound down the ocean corrugated in the afternoon sun, then lifted on the reef. ![]() You 'burley' them up the reef, then slyly double back to the take-off. Medina paddled up the inside of him, tried to drag him up the reef in a move familiar to every unscrupulous reef break surfer hoping to soft hustle an unwitting opponent out of position. Medina sensed the ocean had gone quiet in their Semi Final and roamed up and down the expanse of reef at Moneytrees, collecting mid-range scores while Jack sat still as Buddha in the forest. In the same way the unbeatable John John lost at Margies: a performance of incredible composure from Indian Ocean native Jack Robinson. On the basis of pure performance Gabe was still streets ahead at his first comp back from stress leave. Before we leave, we need to note that six months down the track from one of the more dominant years in pro surfing history, in which Medina opened a gap to the rest of the field, the gap still exists. I'm sure I wasn't the only one.īut ejected from heaven we were. Which is how I felt experiencing Medina at G-Land. In his song 'Methamphetamine Blues' Lanegan proclaimed he “ain't gunna leave this heaven so soon”. One or two excellent.īy the time Gabe Medina had surfed his first set wave in the QF against Jadson Andre I had the words of a tune from recently deceased rocker Mark Lanegan in my head. Dutch Trial Register (ref: 4595).It seems fair to say as preamble that as we started Finals Day no-one had yet got a hold of G-Land. The additive 5-variable A-DIVA scale is a reliable predictive rule that implies the probability to identify patients with a difficult intravenous access prospectively. The scoring system was applied in 3 risk groups: 36/788 patients (5%) suffered from a failed first attempt in the low-risk group (A-DIVA score 0 or 1), whereas the medium (A-DIVA score 2 or 3) and high-risk group (A-DIVA score 4 plus), included 72/195 (37%) and 74/80 (93%) patients with a failed first attempt of inserting a peripheral intravenous catheter, respectively. Five variables were associated with a failed first attempt of peripheral intravenous cannulation: palpability of the target vein (OR = 4.94, 95% CI P < 0.001), visibility of the target vein (OR = 3.63, 95% CI P < 0.001), a history of difficult peripheral intravenous cannulation (OR = 3.86, 95% CI P < 0.001), an unplanned indication for surgery (OR = 4.86, 95% CI P < 0.001), and the vein diameter of at most 2 millimeters (OR = 3.37, 95% CI P < 0.001). Failure of intravenous cannulation was observed in 182/1063 patients (17%). A population-based sample of 1063 patients was included. A failed peripheral intravenous cannulation on the first attempt was the outcome of interest. Cannulation was performed regarding standards for care. Experienced and certified anesthesiologists and nurse anesthetists routinely obtained peripheral intravenous access. Patients 18 years or older were eligible if scheduled for any surgical procedure, regardless ASA classification, demographics, and medical history. This prospective, observational, cross-sectional cohort study was conducted between January 2014 and January 2015, and performed at the department of anesthesiology of the Catharina Hospital (Eindhoven, The Netherlands). We aimed to develop a predictive scale to identify adult patients with a difficult intravenous access prospectively: the A-DIVA scale. An accurate and reliable predictive scale for difficult venous access creates the possibility to use other techniques in an earlier time frame. Placement of a peripheral intravenous catheter is a routine procedure in clinical practice, but failure of intravenous cannulation regularly occurs.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |